Chapter 133: Go to the Second Courtyard of the Declining City
Several people discussed it for a while.
With Liu Guoxiang's consultation and Zhang Gu's answer, Yang Jie also became clearer and clearer the more he listened.
The prototype of this disposable circular stapler gradually came to mind.
"No wonder Team Leader Zhang asked me to participate in the whole process! I can learn a lot just by listening to the discussion between Researcher Liu and Team Leader Zhang. ”
Finally, Liu Guoxiang had no more problems, and finally assured in a positive tone that it would be made in the next few days.
......
After Zhang Gu and Yang Jie returned to the hospital.
She was given a copy of the circular stapler and asked her to learn it in advance.
Yang Jie took it as if it were a treasure and went to study happily.
Xiang Jianhua, director of the Department of General Surgery, found Zhang Gu.
"Zhang Gu, are you free in the afternoon?"
Zhang Gu glanced at the shift, "I'm free." ”
Xiang Jianhua said: "How about arranging a task for you? Give a duodenectomy and anastomosis to the Second Hospital of the city, and do a technical back-up." ”
Zhang Gu raised his eyebrows.
"Yes!"
At the beginning, Zhou Dongfeng, Xiang Jianhua, and Geng Bozhong all gave him technical support.
Now, Zhang Gu can also rely on his excellent anastomosis and begin to be able to do technical support for others, which represents a kind of growth.
But...... The second hospital of the city?
The Second Municipal Hospital was originally a municipal hospital, but now it has declined and is not as good as the four hospitals at the county and district levels.
In the past few years, the Second Municipal Hospital has had several major medical accidents one after another, each of which has greatly damaged the vitality of the Second Municipal Hospital.
The continued decline in credibility has made patients reluctant to go to the city's second hospital for treatment.
In the past few years, the Second Academy has also changed its leadership several times, and has thought of various methods, but it has never been able to get up again, but it has fallen deeper and deeper.
Very tragic.
Xiang Jianhua said: "Later, you can connect with the Second Hospital of the City remotely, learn about this operation, and give some technical suggestions to the Second Hospital." ”
"In the afternoon, you are busy with your own work first, and the second hospital will carry out the operation first, if the second hospital can take it down, it will be none of your business. If you encounter a difficult problem that cannot be solved, you will be asked to come over. Just remember to keep your phone open in the afternoon. ”
This model is just like the last time Zhang Gu had surgery, he asked Jianhua to ask Geng Bozhong to do a technical back-up. People can not use it for a while, but they need to be prepared for emergencies at any time.
This is a sign of having some confidence in the skills of their own people.
......
Zhang Guxian got in touch with Yang Guang, director of the general surgery department of the Second Hospital.
Remotely learned about the medical record.
Zhang Gu found that there was still a little bit of family foundation left in the Second Hospital, like Yang Guang, the director of general surgery, who was left over from the early years of the Second Hospital, and he was still very proficient in duodenectomy.
The person in charge of the anastomosis is Ke Sheng, a 40-year-old doctor who has participated in the training and teaching of Zhanggu anastomosis, and his anastomosis skills are average, especially the newly learned pancreatic and intestinal bundled anastomosis is not solid.
This part needs to be covered by Zhang Gu.
Zhang Gu, Yang Guang and Ke Sheng docked, and gave some technical guidance in the anastomosis part.
After that, Zhang Gu continued his daily work.
It was afternoon.
Zhang Gu looked at the time, "The operation in the second hospital should have been progressing for a while, if you don't call me in another two hours, most likely they will do it themselves." ”
Just as I was thinking about it, my phone vibrate.
The caller ID is the "Yang Guang, Director of General Surgery of the Second Hospital" who has just been saved.
As soon as he picked it up, Yang Guang said, "Doctor Zhang, the situation is a bit complicated, I need to invite you to come here." ”
Zhang Gu knew that since the other party spoke, the situation must not be optimistic, so he hung up the phone and set off immediately.
"Shen Wenting, Xiao Mao, and I went to the Second Municipal Hospital, and there was an anastomosis patient after duodenectomy who needed us to take over. ”
As soon as Shen Wenting and Xiao Mao heard that they had work to do, they hurriedly put down what they were doing and hurriedly followed Zhang Gu.
After a while, the three of them came to the second courtyard of the city.
This hospital, as the foundation of the Second People's Hospital of the original city, is still there, with a towering scientific research building, a wide surgical building, and an outpatient building with convenient transportation......
It's a pity that under the gorgeous appearance, there is a pitiful soft power of decline.
Walking all the way in, everywhere seems depressed.
Not only are there not many patients in the outpatient clinic, but even the number of staff in the hospital itself has shrunk considerably.
Zhang Gu recalled the past: "When I applied for the job after graduation, I also considered the Second Hospital, but in the end, I was not optimistic about the development of the Second Hospital. ”
Even he, a local medical university graduate with medium grades, did not look down on the Second Hospital.
This is exactly the current situation of the Second Hospital, where there is a continuous loss of talents, but there are no new recruits to replenish them.
......
At this moment, in the operating room of the second hospital.
The sound of the monitoring equipment is ticking.
Under the shadowless light, several people were a little at a loss.
The anastomosis suture just now was forcibly anastomosed with the stump of the pancreas and a jejunum that was difficult to disconnect, and it was unsuccessful the first time, and the anastomosis was directly hemorrhaged!
There was a severe anastomotic leak during the operation, which was terrible.
A few doctors who do anastomosis are not very confident. Seeing this, I immediately panicked.
This kind of intraoperative hemorrhage is very serious, and the bleeding must be stopped as soon as possible!
This situation even alarmed several prominent figures such as the chief of the general surgery, the chief of the medical department, and the vice president.
The chief of the medical department also has a shadow in his heart, for fear that there will be another medical accident, and the crumbling second hospital will not be able to withstand another toss.
Fortunately, the two responsible persons, Yang Guang and Ke Sheng, were quite calm, and after clamping the bleeding point, they performed suture and ligation.
The problem of heavy bleeding has finally been solved.
After the blood from the wound was removed, the stump of the pancreas and jejunum were revealed. The anastomosis problem has resurfaced.
Ke Sheng and a few other doctors who did the anastomosis part frowned.
The best anastomosis has been broken by them, leaving a selectable anastomosis position, which is even less ideal.
Ke Sheng had no confidence in his eyes at this moment.
"In this case, the pancreatic stump is too thick, and the tightness of the bundle anastomosis is taken into account, but the continuity of permeability is not good, and the difficulty of anastomosis is too high!"
"I'm afraid, even if Dr. Zhang comes, it's not easy to choose the anastomosis position!"
When the chief of the medical department heard this, he swallowed a mouthful of saliva and his face was very ugly.
Everyone was a little apprehensive and uncertain.
If the anastomosis is not done well and the anastomosis is forced, the probability of anastomotic leakage, pancreatic fistula, abdominal infection, and intra-abdominal bleeding will be higher after surgery.
At this moment, Zhang Gu came with Shen Wenting and Xiao Mao.
The chief of the medical department, the director of the general surgery and others all greeted Zhang Gu.
After Zhang Gu nodded briefly to everyone, he quickly changed into surgical gowns, put on masks and gloves, and asked, "How is the situation now?"
Yang Guang's face was not very good-looking, and he said: "I had a heavy bleeding just now, and I used the pancreatic and intestinal binding anastomosis that you taught in the training base, but it was ......."
Ke Sheng took over the conversation, and said in a bitter voice: "The best anastomosis position has already made me bad, now continue to perform pancreatic and intestinal binding anastomosis, I'm afraid it won't work!"